Delayed Umbilical Cord Clamping Versus Cord Milking in Preterm Neonate

MedStar Health

Status

Terminated

Conditions

Premature Birth

Treatments

Procedure: Milking of the cord

Procedure: Delayed cord clamping

Study type

Interventional

Funder types

Other

Identifiers

NCT01393834

2011-053

Details and patient eligibility

About

This study is being done to evaluate if delaying cord clamping or milking the umbilical cord of the preterm infant has health benefits for the baby. Timing of clamping of the cord varies among doctors, but there is information that shows that delaying clamping of the umbilical cord in premature infants may reduce the rate of the baby needing a blood transfusion, decrease the risk of infection and bleeding in the head.

Enrollment

2 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Singleton or multiples pregnancies in patients admitted for medically indicated delivery or in advanced spontaneous preterm labor with imminent delivery at 24 0/7 - 28 6/7 weeks gestation
Women ages 18 and older

Exclusion criteria

Planned vaginal breech delivery
Major fetal abnormalities (defined as those that are lethal or require prenatal or postnatal surgery)
Fetal death in utero
Red cell isoimmunization
Patients who are incapable of informed consent (unconscious, severely ill, mentally handicapped), or are unwilling to undergo randomization
Placenta previa or other known abnormal placentation (e.g. placenta accreta)